Behrouz Elia Dardashti, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A38320 Issued in CA

Practice address

5363 Balboa Blvd
#546
Encino, CA 91316

Phone

(818) 995-6003

Fax

(818) 995-3862

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427118355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5363 BALBOA BLVD",
            "address_2": "#546",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91316",
            "telephone_number": "818-995-6003",
            "fax_number": "818-995-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5363 BALBOA BLVD",
            "address_2": "#546",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91316",
            "telephone_number": "818-995-6003",
            "fax_number": "818-995-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARDASHTI",
        "first_name": "BEHROUZ",
        "middle_name": "ELIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A38320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A38370",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Daniels, MFT
• Marcia Leibovitch Daniels, M.D.
• Richard Beau Daniels, D.C., C.S.C.S.
• Zaakirah Daniels
• David E Danon, D.C.
• Robert Elia Dardashti, D.C,
• Roya Elia Dardashti, M.D.
• Babak K. Darvish, MD
• Mariclare Aspasia Dasigenis, LCSW
• Renat Daudov

• Family Medicine Physician in Encino, CA
• Providers in Encino, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.